On Being Preverbal and Learning Our ABC’s

Young children with apraxia of speech who don’t talk yet are considered preverbal, not nonverbal.

Cari Ebert Seminars

The other day, I saw the above quote on a post on Instagram and my first reaction was “That’s Solly!” If you’ve followed us for awhile, you might know that, until this point, I’ve referred to Solly as nonverbal even though he has a growing vocabulary of words. This is because his speech is very delayed and in most social settings, he does not use many words other than “hi” or “bye”. Moving forward, because we are seeing his expressive speech develop more and more each day, I will only refer to his speech development as preverbal, or as the post went on to describe someone similar to Solly, “minimally verbal.” This is a very appropriate description of Solly’s developmental stage right now!

Speaking of being “preverbal”, we started to focus on the alphabet in our homeschooling curriculum last week. (Long story short: even though Solly is in “kindergarten”, I started him on a pre-Kindergarten curriculum to make sure he gets a good foundation. We’ll work our way towards a kindergarten curriculum, with a goal of starting that in the Spring.) Even though Solly’s words are really flowing right now and he tries to mimic so many other words that don’t easily come to him, I was shocked when our first go at reading the alphabet was this:

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Making Teletherapy a Success

Originally posted on NAPA Center’s Blog

With the ever-growing stay-at-home orders and quarantines related to COVID-19, life is weird right now. Our schedules are in limbo, our children’s lives have moved online, and as parents of special needs kiddos who already take on so much in a typical day, we’re now acting as our child’s teacher, nurse, therapist, and more, all on top of being Mom or Dad and everything else we usually do on a daily basis. We already had too much on our plates without a global pandemic: to say we’re stressed out doesn’t even begin to describe how chaotic our lives feel now.   img_2717

Fortunately, therapy help is available by way of teletherapy or telecoaching. I know what you’re going to say, “But I still have to do the hands-on work during these sessions. I’m still acting as my child’s therapist.”

Yes, that’s true. With teletherapy, you will be an active participant in your child’s session. But, that’s just one part of it. There’s so much you can gain from teletherapy that you may not have considered. Simply stated, teletherapy can make life a little bit easier when everything else seems really difficult.  Continue reading

Good Morning, Friend: A Day at School

Now that Solly is settled in at school, we’ve been working on moving his therapy appointments to during school hours so his therapists can work with him in his classroom. This helps his teachers learn about some of the things he’s working on, but also teaches his peers more about Solly, like how to best communicate with him. While parents have the option to come back to the school to sit in on therapy appointments, we recently discovered that Solly can focus better during therapy if we aren’t present, so we’re starting to limit the appointments that we attend.

Today was the first day where his speech and feeding appointments fell during the school hours and where I chose not to attend. This afternoon, I got this email from Solly’s speech therapist: Continue reading

There’s No “I” in Team

Parenting a kid like Solly has taught me more than I could have imagined. I mean, I could probably write a book simply listing everything I’ve learned, from medical terms to therapy movements to assistive technology and more.

My biggest takeaway so far is this: it’s ok to disagree with a doctor, specialist, therapist and find someone who is a good fit for your child.

Growing up, we always heeded our doctor’s advice: when I dislocated my shoulder, we took an X-ray and I went to physical therapy; when my adult teeth started growing crooked, it was three years of braces for me. Simple and straightforward. However, what I’ve found over the past (almost) four years is that medicine, particularly when you’re dealing with a unique organ like the brain, is often times more an art than a science. There’s no one correct way to rehab that unique organ.

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Miss Laura teaching us how to handle Solly so we can encourage proper body positioning

It took me over two years before I realized that not all doctors and therapists are created equal, especially not for a medically complex kiddo like Solly. Part of the delay in learning this is because we were insanely fortunate to be paired with the perfect physical therapist less than one month after Solly was discharged from the NICU. Her name is Miss Laura, and she still keeps tabs on Solly’s progress even though we haven’t seen her since we moved away from Washington, DC. What I’ve found in physical therapy is that many institutions approach rehabilitation by setting goals for gross motor skills and then moving a child towards those goals even if they aren’t ready for them. And what I mean by this is a common goal for Solly in the early days was sitting, holding quad position, walking, etc. But, often times, he wasn’t ready for those goals and would grow frustrated with therapy sessions because the therapist was essentially forcing him into and holding a position that he wasn’t physically ready to do. Continue reading

Verbal Or Non-Verbal, That Is The Question

Is your child verbal?

How would you answer this question when you can understand the handful of words that your “non-verbal” child has and know that he can answer yes and no questions with 95% accuracy? Man, oh man, I struggle with this.

Sol’s language center was completely wiped out by the three strokes he had at birth. We’ve always firmly believed that he is not cognitively delayed and that he understood everything we said to him, even though his expressive speech was severely delayed. He started to have words after we did our first round of hyperbaric oxygen therapy and his expressive speech has exploded since we did stem cell therapy back in March. To date, we figure that he has somewhere between 20 – 30 words, has just started stringing 2 words together, and, like Bea, will speak in his own language. (Sometimes I think Bea understands him as I will frequently find the two of them conversing back and forth.) Continue reading